Category Archives: Politicians

New NYC Mayor’s Socialist Vision Raises Questions for Brain Injury Care

Zohran Mamdani, New York City’s incoming ‘democratic socialist’ mayor, has declared that “socialism means a commitment to dignity, a state that provides whatever is necessary for its people to live a dignified life.” Mamdani’s personability and acronymic political stance gained the support of the majority of the City’s voting public. For New Yorkers with brain injuries, this philosophy carries both promise and peril.

Some socialist healthcare systems have demonstrated genuine achievements in brain injury rehabilitation. Denmark’s centralized model delivers specialized rehabilitation to 84% of severe traumatic brain injury survivors, far exceeding other nations. Cuba’s CIREN [International Center for Neurologic Restoration, located in Havana] self-reports that it “has gained international recognition for its innovative approaches to neurological treatment and rehabilitation”, since its founding in 1989.

Lest this political stance be seen only for its benefit, troubling patterns emerge. Sweden’s universal healthcare system reaches only 46% of its most severe TBI patients with specialized care. Cuba, despite world-renowned facilities, suffers 70% medication shortages that cripple daily care. The Soviet Union’s legacy of “there are no invalids in the USSR” reminds us that socialist rhetoric can mask institutional neglect.

Mamdani’s proposed $363 million mental health investment and public hospital commitments sound transformative. If enacted, and beyond the fact that the City likely will not be able to achieve that number because of movement from the City after the needed massive tax hikes, these grand plans often stumble against bureaucratic realities. Simply, many highly skilled doctors may relocate. Ultimately, whether Mamdani’s vision delivers meaningful improvements for brain-injured New Yorkers or becomes another case of ambitious promises meeting harsh constraints remains uncertain. For now, cautious observation is wisest – New Yorkers must wait and see.

Should 2026 Fiscal Year Funding Signage Concern the Brain Injured?

President Trump signed S.1071 into law on December 18, 2025. The National Defense Authorization Act for Fiscal Year 2026 was sponsored by Sen. John Cornyn (TX), and co-sponsored by Sen. Ted Cruz (TX), and received bipartisan support in Congress. The House passed the measure 312-112 on December 10, with the Senate approving it 77-20 one week later.

Similar to the redesignation of the Department of Defense as the Department of War, the $900 billion defense package appears to focus more on military action than research  As early as May 2025, ESPN reported, “The Trump administration’s 2026 fiscal budget request to Congress eliminates major federal funding for traumatic brain injury (TBI) research and education, potentially undercutting efforts to address head injuries in sports, particularly at the high school and youth levels.” The 2024 funding bill also included decreased funding for brain injury research. 

Whether the bill affects treatment options and research, and to what level, is to be seen.* It appears that some broader funding can be given to any study, even if it goes above the mandated TBI research amount. Additionally, most of the plentiful research I report on seems to be unrelated to the Department of War.

*Only one day prior to the signing of S.1071, Rep. Lori Trahan (MA) introduced H.R.6823 – “To direct the Secretary of Defense to establish a pilot program to facilitate the development of certain traumatic brain injury diagnostics for members of the Armed Forces.” On that day, December 17, 2025, it was referred to the House Committee on Armed Services. Since that time, no further action has been taken.

McNabb Continues to Address “Cruelty”

Over 69,000 TBI-related deaths occur annually in the United States, yet survivors face mockery rather than support:

Recently, Payton McNabb—who suffered a traumatic brain injury during a 2022 volleyball game—was mocked by transgender comedian Stacy Cay, who called footage of McNabb’s injury “pretty funny” and criticized her for falling “like a toddler.” McNabb responded powerfully to those repugnant so-called jokes: “A grown man mocking a teenage girl’s traumatic brain injury isn’t comedy—it’s cruelty.” This is particularly notable since transgender discrimination is often at the foreword of the news and “cruelty” is one note that is used to rightfully describe it.

In schools, students with TBI face bullying from peers and even faculty. As for American adults, the percentage who have had a TBI, and are living with its consequences, ranges from 19-29%, according to recent statistics. Adults experience workplace discrimination in many ways, despite federal protections. These laws, specifically the 1996 TBI Act and Section 504 of the Rehabilitation Act of 1973, ostensibly protect survivors from discrimination but do not eliminate the problem.

Unrelated to McNabb’s trauma, President Trump previously dismissed TBIs as “just a headache”, in reference to service members. This 2020 ignorant statement is, unfortunately, shared by many who have no first- or second-hand experience with brain injury. As commonly is the case for those who interact with those who have a neurological injury, President Trump’s understanding of brain injury and respect for brain injury survivors has since changed. Recently, he honored Payton McNabb at his Congressional address. (McNabb also addressed the North Carolina General Assembly in 2023 and her bio is currently available to view in the congressional record.)

Congressional Visit Highlights CU COMBAT Center’s Great Work

Rep. Jeff Crank (CO, 5th District) recently toured the CU Anschutz Center for COMBAT Research, the nation’s largest academic military health research program. Crank, who serves on the House Armed Services Committee and who’s district is home to five military installations, the United States Air Force Academy and a large veteran population, praised the center’s “great work” saving servicemembers’ lives. (Previously, Crank co-sponsored the bipartisan SMART for TBI Act with Rep. Jason Crow, requiring the military to develop AI-driven traumatic brain injury treatments.)

The COMBAT Center, focused on blast-related injuries, including brain injury, has robust government engagement through over 80 Department of War-funded research grants and educational partnerships with the Defense Health Agency, Uniformed Services University, and the U.S. Air Force Academy. These collaborations have updated 13 military clinical practice guidelines and modernized training for thousands of combat medics.

This partnership between congressional leadership and academic research continues advancing innovative solutions that benefit both military and civilian communities.

Historic Federal Shutdown Resolved as Disability Services Faced Collapse

“The House of Representatives passed the ‘Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, abd Extensions Act, 2026’, with a vote of 222 to 209… after a damaging and unnecessary shutdown that lasted 43 days,” states a press release on the Committee on Appropriations section of the House of Representatives site.

The longest congressional government shutdown in U.S. history ended November 12, 2025, after 43 days, and 15 votes, that threatened the funding of critical services for people with brain injuries and disabilities. The House passed the Senate Appropriations Committee’s spending bill H.R.5371 with a vote of 222-209. President Trump signed the bill into law at 10:25 PM EST.

As was widely reported, the shutdown disrupted Supplemental Nutrition Assistance Program November benefits for 42 million Americans. Nearly 14 million people with disabilities rely on SNAP benefits.  Senator John Fetterman, who suffered a stroke in 2022, was among eight Democrats who voted with Republicans to end the shutdown. He stated: “I refuse to gamble with the food insecurity of 42 million Americans”.

Many financial assistance government programs that benefit the brain injured population are state-based: Supplemental Security Income, employment services, support for independent living healthcare, such as Medicaid and state-specific programs. As such, Social Security Disability Insurance (SSDI) payments thankfully continued without interruption, though other crucial services suffered.

However, many disability advocacy organizations operated “on fumes,” with some stopping new cases entirely. Maria Town, President of the Washington D.C. located nonprofit American Association of People with Disabilities, warned: “Given how many people with disabilities rely on benefits from government programs, this shutdown is especially harmful for the disability community”. The Tennessee Rehabilitation Center in Smyrna closed completely due to lack of federal funding, while Arkansas suspended rehabilitation services starting November 1.

Interestingly, the government shutdown, officially termed a “lapse in appropriations”, was not introduced to the Country as a negotiating “tool” until 1980, during the presidency of Jimmy Carter.  Since that time, most Presidents have weathered these shutdowns. Only two, Ronald Reagan and Donald J. Trump, weathered 3 shutdowns while in office. If history is to be the guide, this government inaction will soon be forgotten, which is both a positive and great negative for America’s well-being.

What Biden’s Neurosurgeon Said vs. What Science Shows*

Recent books, including “Original Sin” by Jake Tapper and Alex Thompson, “Uncharted” by Chris Whipple and “Fight” by Jonathan Allen and Amie Parnes, have reignited discussion about Joe Biden’s mental acuity during his presidency. Specific to this site, these publications bring attention to a significant medical event from Biden’s past.

In February 1988, then-Senator Biden suffered a ruptured brain aneurysm at age 45, followed by discovery of a second unruptured aneurysm. Both required craniotomy surgeries at Walter Reed, with the ruptured aneurysm carrying approximately a 50% survival rate and significant risk of lifelong disability. According to the Cleveland Clinic, a ruptured brain aneurysm can cause a subarachnoid hemorrhage, hemorrhagic stroke, vasospasm, hydrocephalus, seizures, coma and death. However, 34% of those who are affected by such an aneurysm have no permanent brain damage, states the Brain Aneurysm Foundation.

Related to his service to the country, medical research indicates that survivors of brain aneurysms commonly experience cognitive deficits including memory problems, executive function difficulties, language impairment, and personality changes. Despite these risks, Biden returned to the Senate after six months, served as Vice President for eight years, and was elected President. His neurosurgeon, Dr. Neal Kassell, stated in 2019 that Biden suffered no brain damage* and remained cognitively sharp.

Biden has publicly discussed his aneurysms, writing about them in his memoir “Promises to Keep” and occasionally mentioning them in speeches. Unfortunately, following his trauma, he did not seem to be motivatiod to explore new legislation related to brain injury. (While in Congress, Biden proposed one bill specifically related to brain injury: S.3668, Crime Victims with Disabilities Act of 2008. The bill was introduced on October 1, 2008, read twice, and no further action seems to have been taken.)In his new book, Tapper writes, “[Biden’s] not going to be defeated by brain aneurysms, by this tragedy, by that tragedy,” somewhat deceptively implying the aneurysms occurred recently.

* This article is solely factual; do not interpret any statement as opinion.

Big Beautiful Bill Controversy Obscures Opportunity for the Disabled

Self-identified as one of his signature achievements, President Trump’s “One Big Beautiful Bill Act” was signed July 4, 2025. Since this time, H.R. 1 has generated widespread criticism from the news media.  The Atlantic described it as “A Big, Bad, Very Ugly Bill,” while ABC News reported that “two-thirds of the public view the ‘One Big Beautiful Bill’ legislation unfavorably.” While some of this criticism may be legitimate, the bill also offers opportunities for Americans with disabilities despite concerning cuts to social programs.

The legislation reduces SNAP funding by $186 billion through 2034 and implements stricter work requirements and eligibility verification for Medicaid, both of which could potentially affect millions of disabled Americans. However, the bill notably leaves Medicare largely unchanged, preserving this critical healthcare program for seniors and people with disabilities.

The legislation’s most transformative provision dramatically expands ABLE (Achieving a Better Life Experience) savings accounts, allowing people whose disability was diagnosed before age 46 to qualify, up from age 26. This change will enable an estimated 15 million Americans with disabilities to access tax-advantaged savings accounts without jeopardizing government benefits like Medicaid and Social Security.

The bill makes permanent several tax advantages, including 529-to-ABLE rollovers and expanded saver’s credits. As reported by CNBC, Charlie Massimo, a financial advisor and father of two sons with autism, says, “This is a game changer. For the first time, millions of Americans with disabilities will have access to the same kind of tax-advantaged wealth-building accounts most families already have.” Geneva Dickerson, who cares for her disabled brother, sees the potential: “With an account like the ABLE account, he can use those funds to pay for more speech therapy or physical therapy if insurance doesn’t cover it.”

While controversial aspects of the bill deserve scrutiny, the ABLE expansion represents the most significant advancement in disability financial inclusion in over a decade, offering unprecedented opportunities for financial security and independence.

H.R.1 – One Big Beautiful Bill Act: https://www.congress.gov/bill/119th-congress/house-bill/1

ABLE: https://www.ablenrc.org/

Update: Bipartisan Appeal for Reauthorization of TBI Act

On Friday, December 21, 2018, “H.R. 6615, which reauthorizes appropriations for programs and activities relating to the study, prevention, and treatment of traumatic brain injury (TBI),” was signed into law by President Trump.  Officially called the Traumatic Brain Injury Program Reauthorization Act of 2018, the bill previously passed the House with a 353-6 margin and passed the Senate unanimously.  (Reauthorizations were also given to other key health bills, H.R.1222, the Congenital Heart Futures Reauthorization Act of 2017, and H.R. 1318, the Preventing Maternal Deaths Act of 2018.)

Earlier this month, Congressman Pascrell spoke of the bill in House, “Mr. Speaker, I rise to support H.R.6615… I would like to thank Chairman Walden and Ranking Member Pallone for their work to move this important legislation forward.”  Following being signed into law, Chairman Greg Walden (OR) said, “These bipartisan bills… represent a continuation of the hard work [the House Energy and Commerce Committee] has done this Congress to protect and improve the health of all Americans.  From reauthorizing programs so we can better treat and understand congenital heart defects to increasing our understanding of traumatic brain injury, to improving maternal health outcomes… these bipartisan bills will have a profound effect of the lives of children, families, and communities all across the country.”

 

Trump Gives Credit to Caregivers

“Trump donates his presidential paycheck to VA caregivers,” read the headline on The Military Times website yesterday, May 17, 2018.   Specifically, the President’s quarterly paycheck of $100,000 is the first check that the President has donated to the VA (earmarked for the caregivers) and the fifth paycheck that he has donated to various governmental departments.  “President Trump understands the critical role of caregivers,” said Acting VA Secretary Robert Wilkie of this quarter’s donation. Apart from financial support, caregivers support the health and healthcare of dependents and provide much needed social interaction.

Earlier this year, the “Trump tax cut”, H.R. 1, that passed in March, states that, “The [tax] credit [for caregivers]… shall be increased by $500 for each dependent of the taxpayer.”  A dependent is defined as a relative who lives with the caregiver, earns less than $4,050 annually and that the caregiver financially supports.  This is a description that applies to many brain-injured individuals.

Prayers for Senator McCain

As has been widely reported, Senator John McCain was diagnosed with brain cancer on Friday of last week.  As if having to undergo brain surgery to remove what were thought to be benign brain tumors wasn’t enough, now that they are known to be malignant, McCain can look forward to a host of symptoms.  These symptoms can include vision problems, seizures, difficulties with concentration and thinking, difficulties with speech, etc.  In essence, the symptoms of brain cancer largely mirror those of brain injury.  In fact, the National Institute of Health has published the results of a study that shows that there is an, “association between traumatic brain injury and the subsequent risk of brain cancer.”

Despite his medical issue though, McCain has chosen not to stay idle: “Just hours after news broke of McCain’s brain cancer diagnosis, the Arizona senator blasted President Trump amid a report that the administration decided to halt a CIA training program for moderate Syrian rebels fighting Bashar al-Assad’s regime.”  Additionally, his diagnosis has produced an almost unheard-of-now bipartisan show of support, which could perhaps open the door for further cooperation.